MI NUTES OF

THE MEETING OF THE BOARD OF

MED ICAL EXAMI NERS

OF THE STATE OF NORTH

CAROL I NA

ASHEVILLE, NORTH CAROLINA

APRIL 30, - MAY 3, 1986

I NDEX

Abuzeid, Nostafa I. , M. D.

Adjournment

Allen, James Ervin, M. D.

Berrios, Oswald, N. D.

Brewer, Thomas, M. D.

Call to Order

Deans of North Carolina Medical Schools, Meeting with

Emergency Medical Services

Executive Director of NCMS

Fee for RTL's

Formal Actions, Pending

Freymann, Noye Wicks, M. D.

Herrera, Narcos Arriga, M. D.

Interim and Limited Licensure

Johnson, Herbert Fraser, N. D.

Khatri, David, M. D.

License by Endorsement and Examination

12

12

13

Licensure Applicants with Action Pending in Other States 12

Limited Licensure

Mann, John Robert, N. D.

Martin, Jeffrey, M. D.

May, 1987, Meeting

Notification of Public Actions

Nurse Practitioner Subcommittee Report

Physician Assistant Subcommittee Report

Physicians Health and Effectiveness Committee

Proposed Legislation

Rehman, Najeeb UR, M. D.

Reinstatement

Statement on Proposed Legislation

MINUTES

Ca11 to Order

Jack A. Koontz, M. D. , President, called this meeting to orderat, 8:OO p. m. , Wednesday, April 30, 1986. Board members presentincluded Charles H. Duckett, Secretary-Treasurer; EbenAlexander, Jr. ; John T. Daniel, Jr. , M. D. , and Thomas E. Fitz,M. D. Staff members present included Don Pittman, Investigator;and Sibyl Lamoreaux, Secretary.

Executive Director of the Nedica1 ~Societ

The Board of Medical Examiners recommended that the ExecutiveSecretary of the Board and the Executive Director of the NorthCarolina Medical Society confer freely on matters of mutualconcern with the specific recommendation that the Board inviteMr. Moore to make presentations to the Board of MedicalExaminers at its June and December meetings, beginning in June,1986; that the Board consider inviting Mr. Moore to dinnerduring these meetings, not on the first night; and that theBoard's Executive Secretary report to the Board of MedicalExaminers throughout the year on concerns shared by these twoorganizations.

Freymann, Moye Wicks, M. D.

The Board unanimously adopted a motion made by Dr. Koontz andseconded by Dr. Alexander that the Board's Attorney prepare aConsent Order for Dr. Freymann's signature indicating that hisstatement, " I no longer have a license in North Carolina, "constitutes a surrender of his license to practice medicine inthis state and further confirms he does not have license whichhe may reinstate by payment of fees.

The Board commented that the proposed legislation permitsautomatic revocation in cases of involuntary commitment unlessthe Board of Medical Examiners makes an exception.

The Board amended the portion on automatic revocation to read"involuntary commitment to an institution or hospital forpsychiatric treatment. "

The Board further commented that it should propose assessingrecoverable costs and delete the concept of fining.

The Board indicated that it wished to retain the concept ofrestitution of fees.

The Board stated that the proposed legislation should include,"Grounds for licensure revocation include failure to make atimely response to an inquiry or to comply with an order fromthe Board of Medical Examiners. "

Interim and Limited Licensure

At its May, 1986, meeting the Board unanimously adopted amotion made by Dr. Duckett and seconded by Dr. Koontz that theExecutive Secretary with the advice of the Board's Attorneyimplement the following interim and limited licensure policies.

1. Issue a physician approved by the full Board to receiveinterim licensure for disciplinary purposes a regularlicense certificate with a sequential number whichincludes a statement signed by the Executive Secretary,"This license valid until unless superseded byformal action. "

2. Issue a physician who receives interim licensure approvedby an individual Board member or the Executive Secretary a"You Are Now Licensed" letter with a statement at theend of the letter preceding the appropriate signature,"This license valid until

3. Issue a physician approved by the Board for limitedlicensure a regular license certificate which includeswording descriptive of the limitation.

4. Continue to charge customary fees for interim andlimited licensure.

Ph sicians Health and Effectiveness Committee

The Board instructed that Drs. Clark and Fleury attend theJune, 1986, meeting. The Board further instructed that theExecutive Secretary determine the nature of the relationshipbetween the North Carolina Medical Society and the PhysiciansHealth and Effectiveness Committee and whether the Board isgiving Dr. Clark the franchise to treat all impaired physiciansin the state by referring them to this Committee. The Boardmembers discussed referring impaired physicians topsychiatricts in the various districts.

Berrios, Oswald, M. D.

The Board unanimously adopted a motion made by Dr. Koontz andseconded by Dr. Fitz that the Board of Medical Examiners prefercharges against Dr. Berrios based on 90-14(5), inability topractice medicine with reasonable skill and safety to patientsdue to impairment; 90-14(6), unprofessional conduct; and90-14(12), exploiting family and patient for personal gain.The Board unanimously adopted a further motion made by Dr.Koontz and seconded by Dr. Fitz that, if possible, the Board ofMedical Examiners' Attorney resolve this matter by ConsentOrder.

Limited Licensure

Dr. Duckett proposed that, if an applicant presents credentialsdocumenting professional competency but has not met the Board'sFLEX score requirements, the Board of Medical Examiners providethis applicant with a limited license restricted to a specificpractice site for a period of time which would afford thephysician two opportunities to take and pass FLEX. The Boardinstructed that this proposed policy be placed on the Agendafor discussion at the June, 1986, meeting.

License ~b Endorsement ~A licants

The Board unanimously adopted a motion made by Dr. Fitz andseconded by Dr. Duckett that the Board of Medical Examinersapprove the actions of individual Board members and theExecutive Secretary to license the following physicians byendorsement of credentials.

WILLIAM WRIGHT ADAMS

RICHARD D. ADELMAN

MUNTHER ERHAIEM ALOAISIJOHN WILLIAM ANAGNOST

SAM THOMAS AURINGER

JEAN ELIZABETH AYCOCK

ROBERT BALL, JR.CHARLES HENRY BARNETT

THOMAS LEARY BEATTY, JR.MARK CRAIG BECK

MARY KRISTINE BECKWITH

KURT VINCENT BERGER

JACK MARSHALL BERGSTEINSTEPHEN JOSEPH BOTTSANDRA LEE BRAWNER

RICHARD ALAN BREMER

ROBERT VINCENT BUCCINIMARY ELIZABETH CHRISTIAANSEMARY RUTH CLANCE

CRAIG LLEWELLYN COBLENTZ

WILLIAM GERALD COCHRAN

GARY JAMES COLLINSRONALD WADE COTTLEMAURICE FRANCIS DANA

JOHN FITZPATRICK DONNAL

BARBARA JO DOSSLAWRENCE ANTHONY DUNN

VIVIAN DENISE EVERETTGARY ALAN FAIRCHILDKAREN ANN FERGUSON

ROBERT CLARK FIELDDOMINIC CLARENCE FOTI, JR.REYNALDO MOLINA FRANCISCOPATRICIA ANN FRIEDMAN

DONALD NELSON GARDNER

STUART JOSEPH GARNER

GEORGE ANDREW GEHRKEN, JR.MICHAEL BARRY GELLISWERNER ANTON GERGEN

RANDOLPH ADAMS GOODWIN

KENDALL BRYCE GREEN

ELEANOR ELAINE WILSON GREENE

WILLIAM RALPH GREENWOOD

FRANCES HARRINGTON GRIFFITHS

WILLIAM BARRETT GUNTER, JR.JOHN RANDALL HAGUE

CALVIN HARRIS

WILLIAM RUSSELL HAZZARD

LARRY LEE HEDGEPATH

BRADLEY ELDER HENDERSON

MARK JOSEPH HEULITTCATHY JUNE HILLJAMES PATRICK HOLLAND

LAURA JEAN HORVATH

GEORGE ALBERT HOWARD, IIIDAVID HARDING HUMPHREYS

THOMAS WAYNE JACKSON

KEVIN MICHAEL JOHNSON

ROBERT DUREN JOHNSON, JR.RICHARD GERALD JUBERGPAUL HENRY JUENGEL, IIIDESMOND PEYTON KELLY

STEPHEN MITCHELL KIRKLAND

PAUL THOMAS KLAS

EDWARD JOHN KNISH, JR.ROBERT ALAN KREEGERFRANK HARVEY LAWLER

STEPHEN NARC LEBWILLIAM LOUIS LEHMAN, JR.JOHN LUTHER LENTZ, JR.WILLIAM CAMPBELL LITTLEWILBUR DU BOSE LIVINGSTON, JR.LAURIE CHURCHILL LUDINGTON

SUSAN CONSTANCE MAFFEY

CHRISTIAN EUGEN MAGURA

THOMAS HOBBS MARSICANO

CYNTHIA PIKE MATTHEWS

ANN FARRAR MCBRIDEJACK MARVIN MCBRIDE, JR.JIMMY WAYNE MCCHRISTIAN

CHRISTINA AGNES MCQUISTON

AUDREY EUBANKS MICHAL

DAVID HILL MICHAL

JOSEPH VINCENT MIRENDA

DAVID HARRY MOORE

EDWARD JAMES MOSKOWITZ

DAVID RICHARD MOUW

BRIAN PHILIP MURRAY

DENZIL DEAN PATTON

CHARLES MCGLOHN PHILLIPSEDWARD LEE POSVAR

WILLIAM THEO POWELL

SAMUEL JOHN RANDALL, JR.THOMAS ROY RAPISARDO

ELIZABETH GRAY RAYMOND

RICHARD GENE REUHLAND

KENNETH ROTH

MARY LOUISE ROY

JOHN HUGH SAMUELS

CHAUNCEY BELTRAN SANTOS

HOWARD FRED SASLOW

MAZEN MAX SAWAF

TIMOTHY THOMAS SAWYER

JENNIFER CAROL SCHAAL

KEVIN BARRIE SHARER

JAMES ROBERT SHEFFERLYKENNETH MARTIN SIGMAN

HELMY MOHAMED SIRAGYMILTON EDWARD SKELLYWILBURN JACKSON SMITH, IIISAMUEL JAY STORCH

SUSAN BROOKS STORCK

JOHN NELSON STRANGE, JR.KINUKO IKEDA SUZUKI

WILLARD CHANDLER THOMPSON, IIITHOMAS GARY TRAUTMANN

ROGER DALE WADDELL

JULIE LYNNE WARE

WILLIAM JOSEPH WATSON

LORNE EVERD WEEKS, IIIBRIAN JOSEPH WEST

ROY BRADFORD WHITNEY, JR.WARREN HERBERT WILLIAMS

JOHN KENNETH WILLIFORD, JR.FLOYD CHARLES WISEMAN

KAROL THADDEUS WOLICKIARTHUR PAUL WOOD

STEPHEN LAMONT WOOTEN

BRIAN FREDERICK WROCZYNSKI

Reinstatement of Licenses ~Sus ended for Faiiure to ~eceister

The Board unanimously adoptedseconded by Dr. Duckett thatapprove the reinstatement ofphysicians.

1. James Edward Ives, M. D.1063 7th Avenue, S.Clinton, Iowa 52732

2. Josh Daniel Davis, M. D.1401 Centervi lie RoadTallahassee, FL 32308

3. Eric Neal Prystowsky, M. D.1001 W. 10th StreetIndianapolis, IN 46202

a motion made by Dr. Fitz andthe Board of Medical Examinersthe licenses for the following

Suspended 6/15/76Re-instated 3/28/86

Suspended 6/15/82Re-instated 3/15/86

Suspended 6/15/82Re-instated 3/19/86

4. Gary Steven Gilkeson, M. D. Suspended 6/12/84208 Norfolk Drive Re-instated 3/24/86Bedford, TX 76021

5. Forrest Ray Dolly, M. D.1401 Centerville Rd.Tallahassee, FL 32308

Suspended 6/12/84Re-instated 3/13/86

6. Lois Teresa Breen, M. D.PO Box 1160Townsend, NT 59644

Suspei. d=d 6/13/72Re-in.-.~~ted 4/1/86

7. Thomas James Bergstrom, M. D.5284 FillmoreOgden, Utah 84403

Suspei. '=d 6/10/80Re-ins+~ted 4/7/86

~Emer enc iiedical Services ~Re ort

The Board unanimously adopted a motion m~ie by Dr. Daniel andseconded by Dr. Duckett that the Board o& Medical Examinersapprove 157 Bee Sting Certifications, 61 MT-IV applications,21 MICN applications, and 68 EMT-P applicatiF ns.

The Board instructed that the staff folio. ;-up on the Board ofMedical Examiners' delegating the admin~s&rative approval ofBee Sting Certifications to the Office i- Emergency MedicalServices with the request that, unles-. there are specificproblems, the Office of ENS process these t.

notifications.

Rehman, Najeeb UR, N. D.

The Board unanimously adopted a motion maA. = by Dr. Duckett andseconded by Dr. Fitz that the Board of Medical Examinersapprove Dr. Rehman's photograph and ,.rmit him to beinterviewed for licensure.

Formal Actions, ~Pendin

The Board instructed that, at the Jui , 1986, meeting theExecutive Secretary, Investigators, and Attorney summarize"where the Board is going and why the , icrges have not beenpursued as directed. " The Board further irdicated that duringthis meeting, it will discuss the wording t.f Consent Orders.

The Board also instructed that, as it ha- .rescinded the actionto prefer charges against Dr. Glatz, the t.ff remove his name

from the list of pending formal actions.

Mann, John Robert, M. D.

The Board unanimously adopted a motion m e by Dr. Fitz andseconded by Dr. Daniel that it prefer char"o' against Dr. Mann

on the basis of North Carolina General Statute 90-14,incompetence, unprofessional conduct, and failing to practicein accordance with accepted medical standards, specifically, byover-utilization of hospital admissions.

Brewer, Thomas, M. D.

The Board instructed that the staff insure Dr. Stringertestifies at the Hearing in June and, if possible, that Andyalso testifies. Dr. Duckett advised that the Board members

need assistance on formulating appropriate questions to askduring Hearings.

Abuzeid, Mostafa I. , M. D.

The Board unanimously adopted a motion made by Dr. Fitz andseconded by Dr. Koontz that, as Dr. Abuzeid has an exchangevisa, the Board of Medical Examiners cannot act on hisapplication for licensure.

Allen, James Ervin, M. D.

The Board unanimously adopted a motion made by Dr. Daniel andseconded by Dr. Duckett that the Board of Medical Examinersadvise Dr. Allen to take the June, 1986, FLEX.

Nurse Practitioner Subcommittee ~Re ort

The Board unanimously adopted a motion made by Dr. Koontz andseconded by Dr. Duckett that the Board of Medical Examinersapprove the following applications.

Nurse Practitioner

Barwick Jane B.Browning, Mary Ann W.

Dillon, Adelaide F.Gorecki, Jean Ann

Kelly, Clara VirginiaI'ahorse, Deborah AnneRouse, Sella S.Scott, Elisabeth A.Tedder, Betty Mae M.

~PN sician

Johnson, P.J.Larson, R.M.

Foy, Jane M.

Kastner, R.J.Kallman, HaroldMcCuen, BrooksParrott, W. T.Slawek, David F.Creighton, R.K. , Jr.

Site

RobbinsvilleGreenvilleGreensboroNags HeadGreenvilleDurhamKinstonHendersonvilleWilmington

The Board unanimously adopted a motion made by Dr. Koontz andseconded by Dr. Duckett that the Board of Medical Examinershold the following application in abeyance until the AlcoholicRehabilitation Center clarifies certain items.

Owensby, George Ernest Noell, John S. Black Mountain

The Board unanimously adopted a motion that it reaffirm thefollowing administrative approvals.

Nurse Practitioner New Su ervisor

Jamieson, Ferne CroweCollie, Mattie Jane

Gwen M. BoydGwen M. Boyd

Additional Practice Sites

Nurse Practitioner

Maxine C. McNeillKatie W. Williams

~Ph s i c i an

Masoud H. AhdiehRobert J. Kastner

New Site

Hamlet HospitalDare Cty. H. Dept

~Ph sician Assistant Subcommittee ~Re ort

The Board unanimously adopted a motion made by Dr. Duckett andseconded by Dr. Alexander that the Board of Medical Examinersapprove the following physician assistant applications

~Ph sician Assistant

Bailey, David LloydBrown, Brenda SueCarnaghi, MichaelColley, Harvey GeneEllis, Dale EdwinFarmer, Vickie LynnFaulkner, John Hume

Fenn, Susan HailerGehrman, David WilliamHeine, James WalterHenderson, David BowersMay, Chris AnthonySanderson, Shirley GrayWoodard, Richard Lynn

~Ph sician

Carl M. Hof fmanJohn W. KeelingVincent E. PaulCharles E. InmanHersey E. MillerWilliam R. JordanTimothy Carl SmithCynthia L. TaylorDon Wayne BradleyStanley Gill MinorStanley Gill MinorCharles Alan BevisMark Howard OvertonFrank Woriax

The Board unanimously adopted a motion made by Dr. Fitz andseconded by Dr. Duckett that the Board approve the followingapplications with stipulations.

Miller, Catherine Nagel Steven R. ForeQuattro, Cynthia Stuart Joel Abrahams

The Board unanimously adopted a further motion made by Dr. Fitzand seconded by Dr. Duckett that the Board of Medical Examinersapprove the following application with the stipulation that theprimary supervising physician provide a signed statementindicating the extender will not perform medical acts inphysician's absence.

The Board unanimously adopted a motion made by Dr. Duckett andseconded by Dr. Fitz that the Board of Medical Examiners

approve the following application if and when Dr. Gaineyprovides certain credentials or complies with certainconditions.

Lawrence, Robert Evans John White Gainey

The Board unanimously adopted a motion made by Dr. Duckett andseconded by Dr. Fitz that it reaffirm the followingadministrative approvals.

Shapiro, DanielMcLeod, DonandMidyette, DebraProff itt, ValerieBerry, GirardCummings, Earl

Arlyn NoellerPhillip WillifordGwendolyn BoydE. Harvey EstesPatrick McDonaghDennis Stuart

Additional Practice Sites

Hall, ValerieKrajcik, Sandra

A. NogaziWilliam Michal, Jr.

Merrera, liarcos ~Arria a, M. D.

The Board unanimously adopted a motion that, if thisphysician's file is complete, the Board of Medical Examinersapprove him to take the June, 1986, FLEX.

ilartin, ~Jeffre, M. D.

The Board unanimously adopted a motion made by Dr. Alexanderand seconded by Dr. Koontz that the Board of Medical Examinersprefer charges against Dr. Martin on the basis ofunprofessional conduct and failure to conform to acceptedstandards of medical practice in this state, specifically,obtaining drugs by fraudulent means and self-abuse ofcontrolled substances.

Johnson, Herbert Fraser, N. D.

The Board of Medical Examiners unanimously adopted a motionmade by Dr. Alexander and seconded by Dr. Koontz that it referthis matter to to the District Attorney in the appropriatecounty; and that, since this individual is allegedly practicingmedicine without a license, the Board send a copy of thereferring letter to the Attorney General's Office.

~isa, 1987, ~iieetin

The President directed that this item be placed on the Agendato be discussed at the June, 1986, meeting.

Fee for Residents ~Trainin Licenses

The Board unanimously adopted a motion that this item be placedon the Agenda to be discussed at the June, 1986, meeting. Dr.Duckett recommended that the fee be $50 for the initial licenseand $50 to register this training license and also recommendedthat the Board hold a Hearing to change its regulationsregarding fees for these licenses.

I li

The Board unanimously adopted a motion to rescind its previousaction and consider each application on an individual basis.The Board agreed that because of the uncertainity as to whataction the Connecticut Board may take concerning Dr. Chamberlinit cannot act upon his licensure application at this time.

The Board agreed upon a statement to be made to the NorthCarolina Medical Society indicating the Board of MedicalExaminers accepts the recommendation of Reference Committee Iand looks forward with enthusiasm to working with the ExecutiveCouncil to alleviate mutual concerns.

~Meetin with Deans of North Carolina Medical Schools

Arthur C. Cristakos, M. D. , Duke University School of Medicine;Richard Janeway, M. D. , Bowman Gray School of Medicine; WilliamD. Mattern, M. Dae University of North Carolina School ofMedicine; and Charles H. Duckett, M. D. , East Carolina School ofMedicine, attended this meeting as representatives of thevarious North Carolina medical schools. They discussed severalconcerns including:

1. Duke, Oxford, and Cambridge Exchange Program - The Boardindicated that there should be no difficulty inparticipating in this exchange program.

2. Mini-fellowships - The Board indicated that physiciansfrom out of state could come to North Carolina toparticipate in mini-fellowships and obtain dated licensuresimilar to the licenses issued to visiting professors.

3. Off-schedule Graduation - The Board indicated that anindividual who has a written statement from the Officeof the Dean of a North Carolina Medical School certifyingthat he or she has completed all requirements and willreceive the M. D. degree on a specific date,provides an appointment letter to a training program, andcompletes all other credentialing requirements may belicensed by the Board at a PGY 1 level for a specificperiod of time. The Board emphasized that this provisionapplies only to students from North Carolina medicalschools.

4.

5.

Summary of FLEX Passing Scores at different time Periods,Appropriate Visa Levels for Licensure, and Requirementsfor Licensure by Endorsement - The Deans requested that theBoard provide information to them regarding these matters.

Foreign Medical Graduate Educational Requirments - TheBoard emphasized the current statutory educationalrequirements for foreign medical graduates.

6. Physicians with Substance Abuse Problems withinNorth Carolina Medical Schools - The Deans requestedinformation on individuals within their institutions who

have substance abuse problems and expressed appreciationto the Board for advising physicians to discuss suchproblems with Department Chairmen. The Board advisedall applicants to be truthful on applications aboutpersonal use of controlled substances.

7. Reporting Formal Board Actions, Including Charges - TheDeans requested, if possible, the Board of MedicalExaminers inform them of public actions on physicianswithin their institutions.

Khatri, David, M. D.

Dr. Duckett directed that the Board proceed with the chargesagainst this physician.

Notification of Public Actions

The Board expressed concern regarding the time period betweenformal actions and reporting these actions to variousorganizations.

Adjournment

As there was no further for the Board to consider, thePresident declared the meeting adjourned at the conclusion ofthe House of Delegates Meeting on Saturday, May 3, 1986;however, the President stipulated that, because of the distanceinvolved, the Board will cover expenses of members whose needsrequire them to leave on Sunday, May 4, 1986.

JAK:BDPjr:s 1

0285S

Charles H. Duckett, M. D. , SecretaryBOARD OF MEDICAL EXAMINERS OF THE STATE OF NORTH

CAROLINA